Provider Demographics
NPI:1558858217
Name:TREE HOUSE CHILD ADVOCACY CENTER OF MONTGOMERY COUNTY
Entity Type:Organization
Organization Name:TREE HOUSE CHILD ADVOCACY CENTER OF MONTGOMERY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:240-777-4777
Mailing Address - Street 1:7300 CALHOUN PL
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-3702
Mailing Address - Country:US
Mailing Address - Phone:240-777-4699
Mailing Address - Fax:240-777-4470
Practice Address - Street 1:7300 CALHOUN PL STE 700
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-3702
Practice Address - Country:US
Practice Address - Phone:240-777-4699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse PediatricsGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty